Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,341.64 / $6,067.00	Facility		$100.00	$2,341.64	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,235.02 / $1,515.88	Professional		$967.34	$1,235.02	$1,515.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.65 / $1,769.69 / $2,727.40	Professional		$1,027.65	$1,769.69	$2,727.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.76 / $1,751.69 / $1,812.99	Facility		$1,191.76	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.74 / $1,827.55 / $2,898.44	Professional		$1,307.74	$1,827.55	$2,898.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,176.44 / $1,930.07 / $3,631.08	Professional		$1,176.44	$1,930.07	$3,631.08
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.44 / $1,560.69 / $3,057.56	Professional		$1,176.44	$1,560.69	$3,057.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $830.61 / $996.73 / $1,573.18	Professional		$830.61	$996.73	$1,573.18